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Question
marine26
My original diagnosis of PTSD was in July 2010 with a score of 60/85 on the PCL and my original GAF score was 45. Since I got out of the military in 4/2010 I have been unable to obtain unemployment due to the severity of my symptoms and they have since, gotten worse. I am currently on Trazodone for Depression, Panic Disorder, and to help get me asleep; Prazosin for nightmares; and BusPar for Generalized Anxiety Disorder.
C&P Exam
*Section 1
1. Diagnostic Summary
Does the veteran have a diagnosis of PTSD that conforms to DSM-IV criteria based on todays evaluation? YES
2.Current Diagnosis
Axis I: 309.81 PTSD (Chronic)
Comments: The veteran was exposed to a wide range of traumatic stressors. He struggled with social/occupational deficits since exposure, and he has sought treatment for such. The examiner is able to opine the veteran suffers from PTSD that is most likely (more than 50/50 probability) caused by or a result of military service.
Axis II: 799.9 diagnosis deferred
Axis IV: Psychosocial and environmental problems to include: Social, Familial, Employment, Financial.
Axis V: GAF 43
3.Occupational and social impairment
Total occupational and social impairment Yes
*Section 2: Clinical findings
1. File review: Yes
2. History:
a. Revelant Social/ Marital/ Family history: Married in 2008, but currently estranged relationship with wife.
b. Revelant Occupational and Educational History: last employed 2010(USMC). Ateempted to obtain employment at call center, but was unable to tolerate level of activity around him.
c. Revelant Medical history: prescribed psychtrophic medication by primary care provider. Attempted to access treatment, but his efforts have been largely unsuccessful or largely impeded. primary care provider recently managed referral to a counselor for individual therapy.
3. Stressors: (3)
Do these stressors meet criterion A: Yes
4. PTSD diagnostic criteria:
Criterion a: Both
Criterion b: 5 of 5
Criterion c: 5 of 7
Criterion d: 5 of 5
Criterion e: Symptoms lasted more then a month (Yes)
Criterion f: symptoms decribed cause clinically signifigant distress or impairment in social, occupational, or other important areas of functioning (Yes)
5. Symptoms
a. depressed mood
b. anxiety
c. suspiciousness
d. chronic sleep impairment
e. flattened effect
f. disturbances of motivation and mood
g. difficulty in establishing and maintaining effective work and social relationships
h. difficulty in adapting to stressful circumstances, including work or work like setting
i. impaired impulse control, such as unprovoked irritability with periods of violence
6. Competency
Veteran is capable of handling own financial affairs.
7. Remarks
Veterans face was haggard and careworn. He presented as intense, somewhat paranoid, and wracked with anxiety consistent with formidable PTSD.
This is the report I recieved from my C&P exam, and would like to know what people think of the results? What percentage do you think I will recieve based on my results?
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